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Home My WebLink About2004-P07467 - addn/remodel/repair CITIr Q�`r OR N PERMIT O O Permit Number: 2750 K�ley �'arkway - PO Box 66 Po�46� Crystal Esay, Minnesota 55323 Permit Type: add�c�o�xemodevRepair (952) 249-4600 Date Issued: s�i4i2oo4 SITE ADDRESS: 1540 Fox St Wayzata,MN 55391 P I�: 02-117-23-32-0003 DESCRIPTION: UBC Occupancy R3 Proposed Use: Residential Construction Type VN Permit Class: Building Census Code 434 Permit Type: Addirion/Remodel/Repair Permit Sub-type(s): Addn/Remodel/Repair DETAILS: Approved per resolution#: Separate perniits required: Yiumoing iviecnanicai Eieciricai�staiej NOTICES/REMARKS: �I[�I[\T_ T"__..____ T"_ Tl_1".__"__ 1!f FEE SUMMARY: Permit Fee: $ 2,057.75 Valuation: $ 290,000.00 Plan Review Fee: $ 1,337.63 State Surcharge Fee: $ 145.50 TOTAL FEE: $ 3,540.88 APPLICANT: 1'erigan Construction OWNER: 7ohn&7oan Nolan 27741 Universiry Ave NE 1540 Fox St Isanti,MN 55040 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. � ,� _--_ - � � -C� � c �r�'�� %J APPLI NT PERM[TEG SIGNA"1'URI? ISS GD BY SIGNA'CURG ��'' Copies: 1-File(SiQnitures Required),1-Applicant 1-Monthlv Reports, 1-Assessin�, 1-Finance Page 1 t � Total Fee: $ �� `_� `/U • � :j Date Received: ,5-,� -O Entered By: f�'g'j1�.�;L,� - .�; r; x/ ��i� � Permit#: (."� CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan revie�� ill be started. (please print all information) --------------------------------------------------------------------------------------------------- -------------------- _.. -- _ ___ THE APPLICANT IS: (circle one) OWNER O1�CONTRACTOR ---______._.__ JOB SITE ADDRESS: I��Q � )( ,S�"��-e�� %�.^��,,�r� ZIP: �`�: � ,3 �� Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes � No If yes, a special event permit is required with Police Department and City Council approva160 days prior to the event. Non perniitted events will not be allowed. NAME OF OWNER: �c;Y�L�f J'Q��S,, ��/�,�,��I��a�,;,�S�,- PHONE: (home) (work) MAILING ADDRESS: CITY: ZIP: �CONTRACTOR: y�,,'� ,. Co.,5�-. � rxo�TE: l6 , �y��1 � S 3S CONTACT PERSON: .^�,� NIOBILE/PAGER: G 1,��:36� - -� Lf/ o� MAILING ADDRESS: �� (i(n��5,'' l��re 1�l CITY: rSct�`�% ZIP: Q O STATE LICENSE: # ��4 t�W ARCHITECT/ENGINEER: Y//� f�� ;�-��5 PHONE: �l,Z�3 71 ��I l�IS MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATIO\ # TYPE OF WORK: New Accessory Structure Addition >C Nlove RemodeVAlteration� Land Alteration PROPOSED WORK(describe in detain: _��..�� -- �(�t!'LtP_� ►'�r;� ��e_r S c�� STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STAL,LS: ATT. DET. ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��d �� I h;,reby apply for a building permit and I acknowledge that the information above is complete ar.d accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the w�ork will be in accordance with the approved plan. � APPLICANT'S SIGNATURE: ,�,vy�--- L __ DATE: �/5 0 1 Sec.13.04 RIGHTS OF SUBJECTS OF DATA Subd.1. Type o[data. The rights of individual on w kum t�e data is stored or to be stored shall be as set forth in this section. Subd.2. In[ormation required to be gi�en individual_�n in.3i�-idual asked to supply private or confidential data concerning himself shall be informed of: (a)the purpose and intended use of the requested iata within the collecting state agency,potitical subdivision,or statewide system;(b) whether he may refuse or is legally required to supply the requesed dua;(c)any known consequence arising from his supplying or refusing to supply private or confidential data;and(d)the identity o[other persons:r ent�ies authorized by state or federal law to receive the data. This requirement shall not apply when an indicidual is asked to supply iorestigative d�pursnant to section 13.82,subdivision 5,to a law en[orcement officer. The commissioner o[revenue mav place the notice reuuire� under this subdivision in the indicidual income tax or orooertv tar refund instructions mstead of on those forms. Subd.3. Access to data by individuaL Cpon request�a rexponsible authority,an individua!s6a11 be informed whether he is the subject of stored data on individuals,and whether it is classified as publie pri�arr or conFdential. Upon his further request,an individual who is the subject of stored private or public data oo individuais shall be shown the�ta wffihout any charge to him and,if he desires,shall be informed of the content and meaning of that data. After an individual has been shown the Frivate data and in[ormed of its meaning,the data need not be disclosed to him for six months thereafter unless a dispute or action pursuant to this secoo is pending or additional data on the indi�•idual has been collected or created. The responsible authority shall pro�-ide copies of the pri�ate or public,iata apon request by the individual subject of the data. The responsible authority may require the requesting person to pay the actual costs of making.srtif.�ins,and compiling the copies. The responsible authority shall comph immediatei}',if possit�3e,with any request made pursuant to this subdivision,or within fi�•e days of the date of the request,excluding Saturdays,Sunda}s and legal holidiys,if immediate compliance is not possible. If he cannot comply with the request wi[hin that time,he shall so inform the individual,and ma}have an add:ional 5ce days within which to comply with the request,excluding Saturdays,Sundays and legal holidays. Subd.4. Procedure when data is not accurate or com�(ete. �n individual may contest the accuracy or completeness of public or private data concerning himself. To esercise this right,an indi�idual shall nor.fr�in.�riting the responsible authority describing the nature of the disagreement. The responsible authority shall within 30 days either. (a)correct c:a data found to be inaccurate or incomplete and attempt to notify past recipients of inaccurate or incomplete data,including recipients named by t6t indi�i�3ua1;or(b)notify the individual that he believes the data to be correcL Data in dispute shall be disclosed only if the individual's statement of div�ree�ent is included with the disclosed data. The determination of the responsible authority mac te appraled pursuant to the provisions of t6e administrative procedure act relating to contested cases. DAT�PRI�=�CY ADVISORY In accordance with`i.S.13.04,Subd.2,"RighU of subjects of data",we would like to inform you that your request for a permit or licease from the City of Orono or an�-of its departments may require you to furnish certain private or confidential information. You are notified that: 1. The information you furnish will be u�d to determine your qualificarion for the permit or license requested. 2. You may refuse to suppl�-data,but rfusal may require that the City deny the permit or license. 3. The information may be shared with other�ocal,state or federal agencies to the extent necessary to process the permit or license. 4. If your requested permit or license rz�uires Council action to appro��e, some information may become public. 5. You have certain rights under 1�I.S. 1:.0�3 �a�-ailable upon request) to re�zew private data on yourself. 6. Your full name is required to process this application or permit. Q ` ^�,w �/�^;q�� F�rst �Lddle La �77�� 1 ni�l�^��'�✓ G1lG� � � Address �s�,�,� n�l�� SC��C� 76 � W�1�{ 5 ��. City State Zip Phone I understand my rights as stated above. . , Signature � 10 Job Site Address: City of Orono /5-�`v �� 7r��;__ Gv�2��n,�S�3� � �/ �� o�,< �� ;, ;�-: "CATEGORY 1" ALTERNATE FOR � �'��n��='' �.� \k� ONE & TWO FAMILY DWELLINGS 952-249-4600 INSTRUCTIONS: This alternative may be used for one-and two-family dwellings built to meet the Category 1 requirements of Minnesota Rules,Chapter 7670. Complete Parts A,B,and C. Clearly mark plans with: insulation R-values; window and skylight U-values;size and type of equipment; equipment controls; and location of vapor retarder and windwash barriers. More detailed information can be found in the Minnesota Energy Code summary sheets available from the Minnesota Deparhnent of Commerce. Part A. BUILDING ENVELOPE Check proposed envelope joint sealing option � � Prescriptive(caulking,gaskets,etc.� �� '"" ~ �_ _ � ,�_��.,, _ .��,�, ,�_.�� _�..� �._.,.� � ❑ Performance(test per 7670.0470 subp.7.C.� � Check thermal energy calculation option used-� � "Cookbook" (complete worksheet below) � MnCheck method(attach report) f � Performance (attach U-value � Systems Analysis method(attach analysis) � calculations) ��Cookbook�� WOrkSheet MINIMUM REQUIREMENTS for"Cookbook"o tion onl �.. Ceiling Insulation: Minimum R-38 with 7'/z"energy heel; or INSTRUCr[oNs Minimum R-44 with low truss heel; or Step 1. Check item(s)that design meets on Minimum Requirements list Minimum R-38 with R-5 sheathin when no attic. to the right.Must meet all items to use"Cookbook"option. � Ent Doors: Max.U-value of 030 or 13/<"solid wood with storm Step 2. Indicate proposed wall type on table below. Rim Joist Insulation: Minimum R-19 Step 3. Indicate Window U-value and source. �Ad Floors over unconditioned s aces: Minimum R-24 Step 4. Verify total window(including area of all foundation windows) W Foundation Insulation: Minimum R-10 and door area is equal or less than allowable percentage. Foundation windows: '/z"insulated lass,wood or vin 1 frame TABLE FOR DETERMINING MAXIMUM WINDOW AND DOOR AREA Maximum Allowable Total Window and Door Area as �-�-.� a Percenta e of Ex osed Wall 12% 14% 16% 18% 20% :j 22%'� 24% 26% 28% Wall T e Standard Framin ): Maximum Avera e Window U-value exce t foundation windows): ❑ 2x4,R-13 insulation,>_R-7 sheathing 0.55 0.47 0.41 036 0.33 030 0.27 0.25 0.23 0 2x4,R-15 insulation,>-R-5 sheathing 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 ❑ 2x6,R-19 insulation,<R-5 sheathin 0.48 0.41 0.36 032 0.29 0.26 0.24 0.22 0.21 0 2x6,R-19 insulation,>-R-5 sheathing 0.56 0.48 0.42 0.37 034 031 0.28 0.26 0.24 ❑ 2x6,R-21 insulation,<R-5 sheathin 0.51 0.43 038 0.34 0.30 0.28 0.25 0.23 0.22 2x6,R-21 insulation,>-R-5 sheathing 0.58 0.50 0.44 039 0.35 `�0.32� 0.29 0.27 0.25 Wall T e Advanced Framin ): Maximum Avera e Window U-value exce t foundation windows): ❑ 2x6,R-19 insulation,<R-5 sheathin 0.52 0.45 039 035 0.31 0.28 0.26 0.24 0.22 ❑ 2x6,R-19 insulation,>_R-5 sheathing 0.58 0.50 0.44 039 035 032 0.29 0.27 0.25 ❑ 2x6,R-21 insulation,<R-5 sheathin 0.55 0.47 0.41 036 033 030 0.27 0.25 0.23 ❑ 2x6,R-21 insulation,>_R-5 sheathing 0.60 0.52 0.46 0.41 036 0.33 0.30 0.28 0.26 Window U-value: J,3� Source: ❑NFRC ❑ ASHRAE 1993 Handbook C'' � ' c� • ' ci . _ O ; O ��0 X _� - o - _ - _._ --;,-. < window&door area gross exposed wall area �DESIGN ALLOWABLE (from table above) M/NNESOTA ENERGY CODE- WHICH RULES MAY I USE ? TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES � � CHECK OFF LIST FOR ISSUANCE OF PERMITS FOR OFFICE USE ONLY ADDRESS OR LEGAL: ! 5�l a �'o� sr2t`r PID: DESCRIPTION OF WORK: /�o� i�o�► — ►MA's�z:�2 s�, _ ------------------------------------- --------------------------------------------------------------------------------- ZONING REVIEW BY: DATE APPROVED: s-rL o� , BUILDING REVIEW BY: DATE APPROVED: s • �Z - �'� ------------------------------------------------------------------------------------------------------------------------ FEES TO BE CHARGED: Misc. Fees Calculated By: PERMIT Yes �/ No PLAN REVIEW Yes �' No SEWER CONNECTION STATE SURCHARGE Yes � No WATER CONNECTION INVESTIGATION FEE Yes No PARK FEE SAC Yes No SITE INSPECTION Number of SAC Units OTHER (specify) --------------------------------------------------�--------------------------------------------------------------------- ZONING CHECK LIST Zoning District: Fire Department: Post Office: School District: Lot Area: Sq.ft. Acres Width Depth Survey Submitted: Yes ✓ No Date of Survey: � L-5 - -�i 5 �� 1=�� Proposed Setbacks: Front (Lake): �70 � � Right Side: `i0o� � Rear (Street): �>> � } Left Side: `t g Adjacent Structures: — Wetland: ~ Building Height: Def. Hgt. (�.�C. Peak Hgt. Lot Coverage: eJ /�' Grading: Staff Approval Date: es .1.� By: Council Approval Date: �" Septir. Staff Approval Date: —' By: Zonin;File: # �' Resolution: # Resolution Date: Shoreland District: �a Avg. Setback: Bluff Setback: L o t C o v e r a g e : Existing Proposed Hardcover: 0-75' 75-250' 250-500' 500-1000' Hardcover Variance Required: Yes No Date of Council Approval: REMARKS (in house): �'�r r � � � BUILDING REVIEW CHECK LIST UBC: � "3 CONSTRUCTION TYPE: V� Sq Footage $Per Sq Ftg Basement x = 1 st Floor x = 2nd Floor x = Garage x = x = TOTAL Estimated Construction Value: $ 2`10 O oo °x Inspections Required: Work Requiring Separate Permits: Site �1'� Plumbing Fire Hardcover Removal � Mechanical Water Connection D( Footing Septic Sewer Connection �Framing Fireplace Lawn Irrigation �Insulation (Masonry) Other �_Wall Board (Mfg.) Well (State Permit) if Final Gradin�Filling _�Electrical (State Permit) Other .. � =_�'. - - ` REMARKS (IN HOUSE): ,. - � --------------------------------------------------------------------------------------------------------------------- ' .`i , REVIEW BY OTHERS: DATE: � Access: Existing New Access Approval: Date By: ---------------------------------------------------------------------------------------------------------------------- REMARKS (TO BE NOTED ON PERMIT): � � D TE TIME `� CITY OF ORONO CALLED IN � �y INSPECTION NOTIC /^ SCHEDULED �%� PERMIT NO. �� `�'� COMPLETED ADDRESS �� `�C� GC� l� ��. OWNER CONTR. � /�. / �� TELEPHONE NO. � �y -S S� � ��' � DESCRIPTION ' ' �-�� l� 01 FOOTING 11 MECHANICAL RI 18 E AV/GRADING/FILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � O 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPT,I FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOF TO MEET YOU: YES_NO � COMMENTS: C�f� �('�� ' �CL' � ` ��o�a W a � J O � � O � W � Q � 2 W � W � j d W WORKSATISFACTORY:PROCEED ❑ PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED C ISSUE CERTIFICATE OF OCCUPANCY W O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ;� pHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTIOIV REQUIRED.CALL TO ARRANGE ACCESS. Call for the next'nspection 24 hours in advance. �952� Z49-46QQ OwnerlContract s' : Inspector. White Copyllnspector's File Canary Copy/Site Notice ✓ � DATE TIME � CITY OF ORONO �� CALLED IN b-� INSPECTION N TICE[� SCHEDULED ��- 'O //:C�t� PERMIT NO. 6 7 COMPLETED ADDRESS ��7'D �� J� OWNER CONTR._Y�X I�h ��'� TELEPHONE NO. �O�c�` - �JC�O - '7'I a � � DESCRIPTION �� -' � � � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT J 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � ` w�` � � � 0 � � 0 � W � � , Q z �07l�3 � �[c�m.bina ✓ w � W � j d W WORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE � ❑ CORRECT WORK&PROCEED r' ISSUE CERTIFICATE OF OCCUPANCY W 0 ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ PHOTOTAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR � CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the n t inspection 24 hours in advance. (952� 249-46�� Owner/Contr ite: Inspector. White Copyllnspector's F e Canary CopylSite Notice DA TIME � CITY OF ORONO �iN �-� INSPECTION NOTIC SCHEDULED -/ -D � PERMIT NO. COMPLETED ADDRESS /J�' �L7 � OWNER ' CONTR. �� TELEPHONE NO.L�Z^ 3�v —�� Z Z- � DESCRIPTION � � �"lO� � 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING Q 02 FRAMING 13 MECHANICAL FI 19 LAKESHORE/WETLANDS � 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL � 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Z Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL � 10 P�UMBING FINAL 36 FOUNDATION/REMOVAL � OWNERICONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W 4 � J O >. � O � W � Q � Z W � W � j d W� WORKSATISFACTORY:PROCEED I� PROJECTCOMPLETE W ❑ CORRECT WORK&PROCEED ;-, ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ PHOTO TAKEN INSPECTOR WILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �' CITATION ISSUED ❑ INSPECTION REQUtRED.CALI TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� Owner/Contractor o sit : Inspector. � � White Copyllnspector's File Canary CopylSite Notice